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PBM INDUSTRY REGULATION TO BE ARGUED BY SUPREME COURT

Patient Advocate Groups Optimistic Courts Will Support State Rights to Regulate

Washington, DC –News Direct– Alliance for Transparent & Affordable Prescriptions

As policy makers in Washington, DC debate the next appointee to the United States Supreme Court, patient advocate groups are optimistic existing Justices and the nominee will support rights of states to impose regulations on the Pharmacy Benefit Manager (PBM) industry. The case, Rutledge v. the Pharmaceutical Care Management Association, will argued before the Supreme Court on October 6, 2020. The Alliance for Transparent and Affordable Prescriptions (ATAP), a coalition of patient and provider groups concerned about the role PBMs play in the rising cost of drugs and reduced patient access to affordable treatment, filed an Amicus Brief with the United States Supreme Court in an effort to support the rights of states to impose regulations on the PBM industry.

ATAP’s Amicus Brief argues in part that PBMs are engaged in abusive practices with serious practical and policy consequences – including upward pressure on prescription drug pricing.

“The relationship that really matters is the doctor-patient relationship, not the relationship with the middlemen” stated Dr. Robert Levin, ATAP’s President. “Every day, we witness first-hand how the PBM industry drives up costs and interferes with patient access to the medications they need. Doctors, patients, and legislators are saying ‘enough is enough’ and are fighting back. We welcome the opportunity to lend our voice and arguments on behalf of patients as the Supreme Court weighs in on regulating this industry.”

The debate over the PBM industry is gaining traction in Washington as additional regulations are proposed, and even Presidential Executive Orders crafted in part to reign in PBM activity in the prescription drug marketplace.

“PBMs construct formularies and utilization management tools not based on science but on profit, often leading to higher drug prices,” Dr. Madeline Feldman of the Coalition of State Rheumatology Organizations (an ATAP member organization) stated. “The Supreme Court should agree to allow states to protect ALL patients from the machinations of PBMs – whose only fiduciary responsibility is to shareholders. Perhaps if the federal government demanded transparency and regulated PBMs appropriately, the states wouldn’t have to step up to do the job.”

“Countless healthcare stakeholders have waited eagerly for this day to come and will be closely watching the proceedings since this is the first case involving a PBM before the United States Supreme Court,” stated Kathleen A. Arntsen, President & CEO of Lupus and Allied Diseases Association (an ATAP member organization). “As a patient-led organization who represents people that deal with serious health conditions on a daily basis, we have firsthand experience with the frustration in struggling to access affordable and appropriate treatments due to the existence of the unnecessary middleman industry. We are thrilled that the Justices will finally weigh in on these momentous issues and hopeful that they will stand with patients and rule in favor of fair drug pricing.”

In an earlier statement on the matter, the plaintiff, Arkansas Attorney General

HIPAA Regulation Protects In opposition to Improper Disclosure Of Health Data By Health Care Providers

Social health, together with psychological and physical health, is among the key aspects to find out the general well-being of a person. Most medical hospitals and clinics provide immunization or vaccine shots throughout the flu seasons, or when a basic outbreak of hepatitis is going around, and a public health schooling ensures that more individuals know to go to these facilities and avail of the therapy, thereby lessening the quantity of ill folks.

For most people, good health care means having a main-care physician, an expert who assists you as you assume accountability in your total health and directs you when specialised care is critical. In two articles (Snyder et al., 2011; Segouin et al. 2005), a rising development in the health industry is medical tourism, when patients journey to different nations to obtain medical care.

Patients may try to distract themselves from the ache by crying or even laughing. The important thing areas of potential threat under the Federal Anti-Kickback statute additionally arise from pharmaceutical producer relationships with three teams: purchasers, physicians or other health care professionals, and gross sales brokers.

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Without the federal government imposing and really seeing the need for this to happen, tens of millions of people affected by psychological health and substance abuse issues will proceed to undergo and lack a high quality of life that others get to take pleasure in.…